MARCIA MARIE BLACK - Dietitian and Nutritionist License in Illinois | # 165000270

MARCIA MARIE BLACK

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000270

License Status

INACTIVE

Business

N

First Name

MARCIA MARIE

Last Name

BLACK

Business Name

MARCIA MARIE BLACK

Original Issue Date

01/15/1999

Effective Date

11/07/2001

Expiration Date

10/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005